Opportunity Information: Apply for HRSA 19 028
The AIDS Drug Assistance Program (ADAP) Emergency Relief Funds (ERF) opportunity is a discretionary grant program run by the U.S. Department of Health and Human Services through the Health Resources and Services Administration (HRSA). It sits under the Ryan White HIV/AIDS Program (RWHAP) Part B and is administered by HRSA's HIV/AIDS Bureau (HAB), specifically the Division of State HIV/AIDS Programs (DSHAP). The basic purpose of this funding is to give states and territories targeted, short-term relief when their ADAP programs are at risk of not being able to serve everyone who qualifies, with the central goal of preventing, reducing, or eliminating ADAP waiting lists. In practical terms, it is meant to protect access to HIV medications and related support when budgets, enrollment changes, or drug and insurance costs threaten program capacity.
The key driver for awards under this program is demonstrated need. Applicants have to make a clear case that they require additional resources to avoid creating a waiting list or to quickly resolve one if it exists. HRSA emphasizes that decisions will be based on how well an applicant can justify this need using the criteria laid out in the notice of funding opportunity (NOFO). Applications are reviewed by an external objective review committee, and the review prioritizes situations where there is an existing waiting list or an imminent risk that a waiting list will appear. Even though this particular NOFO notes that, at the time it was published, there were no ADAP waiting lists nationwide, HRSA continues the ERF initiative to keep the safety net stable, maintain the infrastructure needed to respond rapidly, and reduce the chance that states or territories will have to reintroduce waiting lists during future funding or cost pressures.
Funding can be used not only for direct ADAP-related costs that affect access to medications, but also for cost-containment strategies that help programs stretch dollars while keeping clients covered. One specific example named in the opportunity is providing health insurance assistance, which can shift some medication costs away from ADAP while preserving or improving access for clients. The underlying idea is to support strategies that maintain continuous treatment access, stabilize enrollment, and keep the program financially sustainable so eligible clients are not delayed or denied services due to resource constraints.
A notable compliance point in the NOFO is that states and territories are expected to immediately report any waiting list to HRSA if one exists. If an applicant has not reported a waiting list but does have one, HRSA directs them to report it right away and then use any awarded ERF funds specifically to remove clients from that waiting list. This underscores that ERF dollars are intended to directly address access barriers and that HRSA is monitoring waiting list status closely as a core program outcome.
In addition to the waiting-list focus, applicants are encouraged to frame proposed activities in ways that align with HRSA priorities such as innovation, collaboration, impact, and effectiveness. That typically means describing approaches that are not just temporary fixes, but that improve how ADAP coordinates with other systems (like Medicaid, marketplace plans, or other Ryan White services), uses data to manage costs and client needs, and produces measurable results in maintaining coverage and timely access to therapy.
From the posting details provided, the opportunity number is HRSA-19-028 and the CFDA number is 93.917, with an original application closing date of October 25, 2018, and an estimated 15 awards. The award ceiling is listed as 0, which usually signals that the NOFO does not specify a single maximum award amount in that field and that awards may vary based on documented need, available appropriations, and HRSA determinations. Eligibility is summarized broadly as "Others (see text field entitled Additional Information on Eligibility for clarification)," but the program description makes clear that the intended applicants are states and territories operating ADAP under RWHAP Part B, since the purpose is to stabilize those jurisdictional programs and prevent or eliminate ADAP waiting lists.Apply for HRSA 19 028
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "AIDS Drug Assistance Program (ADAP) Emergency Relief Funds (ERF)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.917.
- This funding opportunity was created on Jun 25, 2018.
- Applicants must submit their applications by Oct 25, 2018. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The number of recipients for this funding is limited to 15 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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